Medi-Plex Healthcare Professionals, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

727-3 Issued in MO

Legal business name

MEDI-PLEX HEALTHCARE PROFESSIONALS, LLC

Practice address

1470 S Vandeventer Ave
Saint Louis, MO 63110-2336

Phone

(314) 993-5580

Fax

(314) 991-7745

NPI assigned

Nov 3, 2005

Organization subpart

No

Name

Mrs. Glenda F White-Kindell, BSN,RN

Title

Ceo/Administrator

Phone

(314) 993-5580

• Medi-Plex Health Professionals Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 4, 2022.

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1972594430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 S VANDEVENTER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102336",
            "telephone_number": "314-993-5580",
            "fax_number": "314-991-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 S VANDEVENTER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102336",
            "telephone_number": "314-993-5580",
            "fax_number": "314-991-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-PLEX HEALTHCARE PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "WHITE-KINDELL",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "314-993-5580",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN,RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "727-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "585874506",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi-Plex Health Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Saint Louis, MO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.